Individual provider Active NPI

Kara Anglin, LSCW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1114395910
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010625 Issued in NC
Practice address
1610 Friar LN Apt 102
Winston Salem, NC 27106-5873
Phone
(336) 587-3164
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010625 NC Primary

Addresses

Primary practice location

1610 Friar LN Apt 102
Winston Salem, NC 27106-5873

Mailing address

1610 Friar LN Apt 102
Winston Salem, NC 27106-5873
Phone (336) 587-3164

Other practice location 1

601 N Cherry St Ste 300
Winston Salem, NC 27101-2933
Phone (336) 748-4025

Other names 1

  • Kara J Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C010625NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1114395910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 FRIAR LN APT 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065873",
            "telephone_number": "336-587-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 FRIAR LN APT 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065873",
            "telephone_number": "336-587-3164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Cherry St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012933",
            "country_code": "US",
            "telephone_number": "336-748-4025",
            "fax_number": "336-748-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "KARA",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "GREEN",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.